HomeMy WebLinkAboutB16-0443 Corrections transmittal.pdfTOWN OF~ Department of Community Development
75 South Frontage Road
Vail, CO 81657
Tel: 970.479.2139
www.vailgov.com
TRANSMITTAL FORM
Use this form when submitting additional information for planning applications or building permits.
This form is also used for requesting a revision to building permits. A two hour minimum building review
fee of $110 will be charged upon reissuance of the permit.
Application/Permit #(s) information applies
to: Attention: ( ) Revisions
M J ( ) Response to Correction Letter 7 ~ . U11 «Vtt7 ,(r-J ~ ___,.d.-+--~o----~----..... tv~ v ___..:. __ attached copy of correction letter
( ) Deferred Submittal f .. .. ( ~Other bvvt { { ~bf -
Project Street Address:
"2-i-f I 5;,1 ~ F crA /?1J< ~--
(Number) (Street) (Suite#)
Building/Complex Name: ~ G""A-ih c.....
Applicant Information
(architect, contr tor, owner/owner's rep)
c) ~IA.
Contact Name: <::.
Address: ~I./ )( 0 ':S D
City e-:Lvv-P.. vvf $ State: W Zip:~/ ,f, '2> -~
Contact Name: BB Yt\ J<;rve..)...?_.y--
Contact Phone: '-1 / <.) Lf 7 / -'! S: ,£ 0
Description of Transmittal/ List of Changes, Items Attached:
5/!.~<;.
{/Vvt !/
(use additional sheet if necessary)
,-, , __ ..J. Building Permits:
Contact E-Mail: /< V" Ve 'i "'f .:> r! LY-1VV• /I 11n..k ·iJ-fRevised ADDITIONAL Valuations (Labor & Materials)
J ;c:. vvc~ ,,. ,.-e_ j~YvC < e>y £0., /. cv--.(DO NOT include original valuation)
I hereby acknowledge that 0iave rea this appli6ation, filled out . .
in full the information required, completed an accurate plot plan, Building: $ ________ _
and state that all the information as required is correct. I agree to
comply with the information and plot plan, to comply with all Town Plumbing:
ordinances and state laws, and to build this structure according
to the town's zoning and subdivision codes, design review ap-
proved, International Building and Residential Codes and other
ordinances of the Town applicable thereto. x f3__-) d-
Owner/Owner's Representativ
For Office Use Only:
Fee Paid: __________________ _
Received From: ________________ _
Cash _________ Check# _______ _
CC: Visa / MC Last 4 CC # exp. date: ____ _
Authorization # ________________ _
Electrical:
Mechanical:
Total: $ ________ _
Date Received:
D ~~~~WI~~
NOV o7 2016 ~
TOWN OF VAIL _J
Ol-Jan-2014